Elite Physical Medicine Llc is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" provider in Hebron, Kentucky. Their current practice location is
2091 N Bend Rd Ste 100, Hebron, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(859) 544-2421.
Elite Physical Medicine Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Elite Physical Medicine Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1730709601.
Healthcare Provider's Profile
| Full Name | Elite Physical Medicine Llc |
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| Type | Facility |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 2091 N Bend Rd Ste 100, Hebron, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730709601
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 04/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426427162
- Enrollment ID: O20221220000245
Medical Identifiers
Medical identifiers for Elite Physical Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730709601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Elite Physical Medicine Llc acts as a billing entity for following providers:
| Provider Name | Danielle Blair Behne |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1467124875
PECOS PAC ID: 1759730419
Enrollment ID: I20231207001136 |
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| Provider Name | Krisha Leni Robbins |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1023515681
PECOS PAC ID: 5395089957
Enrollment ID: I20240125002539 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elite Physical Medicine Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Elite Physical Medicine Llc
2091 N Bend Rd,
Hebron, KY 41048-9691
Ph: () - | Elite Physical Medicine Llc
2091 N Bend Rd Ste 100,
Hebron, KY 41048-9122
Ph: (859) 544-2421 |
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